Individual
DR. TAGANN CHAISAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4800
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
2008026682
MO
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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